<div class="page1_block">
    <div class="container_12">
      <div class="grid_12">
          <h3>Ficaremos felizes em poder lher ajudar!
		  <form action="<?php echo $this->url(array('controller' => 'index', 'action' => 'send-mail')) ?>" method="post" id="contact-form">
                    <div class="control-group"><input type="text" required name="name" placeholder="Nome" value="" /><p class="help-block"></p></div>
                    <div class="control-group"><input  type="email" required name="email" placeholder="Email"  value="" /><p class="help-block"></p></div>
                    <textarea name="message" id="message" cols="30" placeholder="Menssagem" rows="10"></textarea>
                    <input name="submit" type="submit" class="btn btn-large green-color" id="submit" value="Enviar Mensagem" />
                </form>
          <a href="#">Enviar</a>
      </div>
    </div>
  </div>